Pharmaceuticals constitute a relatively small share of the total
Health Care expenditure in most developed economies, and yet they
play a critical role in the ongoing debate over how best to
advance, improve, and afford Health Care. Despite this, and perhaps
because of this, the industry has had, for many years, an outsized
claim to fame and controversy, praise and criticisms, and support
and condemnation. Unfortunately, many participants in the debate do
not fully understand the complexities of the industry and its role
in the overall Health Care system. The analytical tools of
economics provide a strong foundation for a better understanding of
the dynamics of the pharmaceutical industry, its contribution to
Health and Health Care, and its dual and often conflicting
priorities of affordability and innovation, as well as the various
Private and Public Policy initiatives directed at the sector.
Everyone is affected by Big Pharma and the products they produce.
At the Drug store, the physician's office, in front of the
television, in everyday conversations, Drugs are a part of our
lives. Society shapes our values toward Drugs and Drugs shape
society. ("The Pill" and minor tranquilizers are good examples.)
And, of course, the way Congress deliberates and Big Pharma
responds has a huge impact on how Drugs affect our lives. This book
is well-researched on the subject of the pharmaceutical industry,
its struggles with Government, and its relationship to the consumer
from the early twentieth century until the present. The Dynamic
Tension between the three participants - Government, Big Pharma,
and the People - is described and explained to lead to an
understanding of the controversies that rage today. The author
describes how the Government, its many investigatory efforts, and
the ultimate legislative results affect the industry and the
consequences of their activities are explored in light of their
effects on other players, including the patients and consumers who
rely on both Government and Big Pharma for their well-being and who
find sometimes unexpected consequences while giving special
attention to the attitudes, beliefs, and misadventures of
less-than-optimal Drug use. Stakeholders are identified with
physicians as a major focus, as well as describing the significance
of prescriptions as social objects and the processes by which
physicians make choices on behalf of their patients. The author
ties it all together with how Big Pharma affects and is affected by
each of these groups. The author utilizes his 50-plus years'
experience as an academic, practicing pharmacist, and Big Pharma
employee to describe the scope of the pharmaceutical industry and
how it affects us on a daily basis, concluding with an inside look
at Big Pharma and how regulations, marketing, and the press have
affected their business, both good and bad.
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